| NPI | 1861906984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 86300) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2023-08-18 |